Summary The health status of Swedish children is in many respects among the best in the world, as shown by the low infant mortality rate, the high percentage of breastfed infants, the low childhood accident rate, the high proportion of vaccinated children, and the relatively low percentage of children who experience corporal punishment. The low infant mortality rate notwithstanding, the first year of life is a vulnerable period; the number of children who die in this first year is higher than the total for the 1–15 age group. The most common causes of neonatal morbidity are preterm birth and low birth weight due to intrauterine growth retardation. 2.5 per cent of newborns exhibit low birth weight, and 6 per cent are born preterm. These levels have remained the same over the past decade. However, mortality in the first weeks of life continues to decline thanks to increasingly better care during delivery and in the neonatal period. Improvements have also meant that fewer preterm babies now develop cerebral palsy (CP). Stillborn rates, on the other hand, are as high today as they were ten years ago, and stillbirths are more frequent among low-income mothers. Approximately 1.5 per cent of all children are born with malformations or chromosomal anomalies severe enough to cause death or significant functional impairment. The most common chromosomal anomaly is Down’s syndrome, a condition more common among offspring to older women. At present, 20–25 children are born annually with spina bifida (meningomyelocele) and approximately 80 pregnancies are terminated after the disorder has been detected during prenatal ultrasound examination. In the 1–15 age group, accidents account for a quarter of all deaths among girls and a third among boys. Twenty per cent of deaths are caused by cancer. Mortality due to accidents is low during childhood up until the teen years and gender differences are small. Sweden has one of the world’s lowest child mortality rates in the 1-15 age-group. This is primarily due to the low child accident mortality rate. Since the turn of the century, however, the rate of infant hospitalisation due to unintentional or intentional injury has increased, as has hospitalisation of 14–16-year-olds due to severe injuries from moped and motorcycle accidents. Children in the 5 th grade of compulsory school